COVID-19 (novel Coronavirus) Billing, Coding, and Compliance Updates
Craneware supports all US healthcare providers during the Coronavirus pandemic
Please scroll down to access COVID-19 resources and guidance. Information on COVID-19 is rapidly changing and will be updated accordingly. All published updates were factual on the date that appears on the article.
COVID-19 (novel Coronavirus) Billing, Coding, and Compliance Updates
The media is closely reporting on efforts being taken across the United States to ramp up clinical operations to prepare for and respond to the influx of patients that will require specialized testing and treatment. Likewise, healthcare organizations are taking steps to create resiliency across financial operations to support their missions in the months to come. Your efforts are critically important.
Craneware’s data team is continuously monitoring guidance regarding billing and coding for COVID-19 testing and treatment. Please check back frequently for updated information.
Craneware customers and non-customers alike should feel free to contact support@craneware.com for questions related to COVID-19 billing and coding – we are here to serve in this unique and trying time.
Latest Updates
- CMS FAQ Document on Medicare Fee-For-Service Billing, updated on May 27, 2020
- Summary of PHE Policies, Transmittal R10160OTN and MM11805, dated May 22, 2020
- Special Edition MLN Regarding Swing Bed Waivers, dated May 20, 2020
- MAC Pricing for U0001-U0004; 87635, 86769, 86328, dated May 19, 2020
- Lab Tests for which Medicare Does Not Require a Practitioner Order During the PHE, dated May 12, 2020
Rapid Fire Q & A
- We have decided to make a patient’s home a temporary expansion site of our provider-based department. Our provider-based department services are always split-billed; the hospital submits a claim for the technical portion of the service and the physician submits their own claim for the professional portion of the service. When services are rendered virtually, does the rendering physician’s physical location during the service affect whether these visits should be billed as telehealth? 4 August 2020
- Does Remdesivir have an assigned HCPCS code? Should we report Remdesivir using HCPCS code C9399? 3 August 2020
- Will professionals be reimbursed for time spent counseling patients on the importance of isolation and contact tracing during the COVID-19 testing process? 31 July 2020
COVID-19 Regulatory Updates
Craneware has made the decision to publicly publish the following in-depth regulatory bulletins which are normally only available to our customers due to the unprecedented nature of the COVID-19 pandemic.
- CMS Interim Final Rule – Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (PHE) 12 May 2020
- Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) – Expanded Flexibilities During COVID-19 Public Health Emergency 22 April 2020
- Revised-Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) 20 April 2020
Additional Resources
Providing COVID-19 Expertise
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